The stomach contains multiple micro niches |
H pylori is acquired in early childhood |
Substantial numbers of H pylori colonise the stomach |
There is notable diversity within Helicobacter species in humans |
H pylori populations remain stable in the stomach for decades |
Cocolonisation with differentHelicobacter strains and/or with clonal variants leads to both competition and at least to genetic exchange |
A symbiotic relationship between H pylori and humans has been postulated |